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Oklahoma rates for HCPCS 15770

Graft; derma-fat-fascia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,779.00 / $12,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.08 / $652.74 / $673.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,374.38 / $8,476.95 / $13,489.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.20 / $793.11 / $870.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.09 / $856.21 / $1,032.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$667.38 / $988.08 / $7,214.89
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,052.31 / $1,052.31 / $1,052.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.38 / $715.98 / $5,004.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,157.00 / $3,858.00 / $7,077.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.01 / $687.51 / $1,012.56